| NPI | 1992210314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011551) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6680-154) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005492) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-07-26 |